Traumatic aneurysm of the middle meningeal artery presenting as delayed onset of acute subdural hematoma

Aoki, Nobuhiko; Sakai, Tatsuo; Kaneko, Mikiko

doi:10.1016/0090-3019(92)90068-x

Cited by 18 publications

(19 citation statements)

References 4 publications

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“…This pseudoaneurysm tends to be ruptured in a delayed fashion, resulting in an intracranial hematoma and clinical deterioration. This series of events has been reported with meningeal pseudoaneurysms in which the patients typically recovered completely after the initial trauma but deteriorated clinically in a delayed fashion from secondary rupture of the pseudoaneurysm after initial tear of the arterial wall 2 , 5) .…”

Section: Discussionmentioning

confidence: 68%

Angiographically Progressive Change of Traumatic Pseudoaneurysm Arising from the Middle Meningeal Artery

Lee

Kim

2014

J Korean Neurosurg Soc

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Traumatic pseudoaneurysms of the middle meningeal artery (MMA) are rare phenomenon, which are usually associated with head trauma such as an underlying skull fracture. They were usually known to cause acute or delayed epidural hematomas but can be associated with subdural, subarachnoid, or even intracerebral hemorrhage. Sometimes, a high mortality rate was reported in these circumferences. But the natural course of these pseudoaneurysms is not well recognized. The indication and guideline of treatment for pseudoaneurysm are also unclear. This report describes a rare case of angiographically progressive change of traumatic pseudoaneurysm of the middle meningeal artery for one week, which was treated with endovascular embolization.

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Section: Discussionmentioning

confidence: 68%

Angiographically Progressive Change of Traumatic Pseudoaneurysm Arising from the Middle Meningeal Artery

Lee

Kim

2014

J Korean Neurosurg Soc

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“…A second operation reveled a large aneurysm-like mass lesion in the subdural space at the base of the middle cranial fossa. This pseudoaneurysm was considered to originate from the MMA 60 . When pseudoaneurysms embed in the brain parenchyma, a rupture in the pseudoaneurysm can cause an intracerebral hematoma 61 .…”

Section: Aneurysms Of the Mmamentioning

confidence: 99%

Clinical importance of the middle meningeal artery: A review of the literature

Yu¹,

Guo²,

Xu³

et al. 2016

Int. J. Med. Sci.

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The middle meningeal artery (MMA) is a very important artery in neurosurgery. Many diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (AVF), moyamoya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine and meningioma, can involve the MMA. In these diseases, the lesions occur in either the MMA itself and treatment is necessary, or the MMA is used as the pathway to treat the lesions; therefore, the MMA is very important to the development and treatment of a variety of neurosurgical diseases. However, no systematic review describing the importance of MMA has been published. In this study, we used the PUBMED database to perform a review of the literature on the MMA to increase our understanding of its role in neurosurgery. After performing this review, we found that the MMA was commonly used to access DAVFs and meningiomas. Pseudoaneurysms and true aneurysms in the MMA can be effectively treated via endovascular or surgical removal. In MMD, the MMA plays a very important role in the development of collateral circulation and indirect revascularization. For recurrent CDSHs, after burr hole irrigation and drainage have failed, MMA embolization may be attempted. The MMA can also contribute to the occurrence and treatment of migraines. Because the ophthalmic artery can ectopically originate from the MMA, caution must be taken to avoid causing damage to the MMA during operations.

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“…On the other hand, a small, focal subdural collection can disappear rapidly on neuroimaging (Duhaime, Christian, Armonda, Hunter, & Hertle, 1996). (Aoki, Sakai, & Kaneko, 1992) severe injury. "Headbanging" to rock music (Mackenzie, 1991) Yes (Zalneraitis, Young, & Krishnamoorthy, 1979) platelets.…”

Section: What Is the Pathophysiology Of Traumatic Subdural Hemorrhage?mentioning

confidence: 99%

Intracranial Hemorrhage and Rebleeding in Suspected Victims of Abusive Head Trauma: Addressing the Forensic Controversies

2002

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Does an expanded subarachnoid space predispose to subdural bleeding? What does heterogeneity in the appearance of a subdural collection on CT or MRI imaging indicate? Spontaneous rebleeding? Minor re-injury? Major re-injury? In some specific cases, answers to these questions have important forensic implications. To conclude objectively that an infant's intracranial hemorrhage or rebleeding resulted from inflicted injury or re-injury requires an in-depth understanding of the pathogenesis of posttraumatic subdural and subarachnoid collections. The authors present two cases of indoor, accidental, pediatric, closed-head trauma that resulted in intracranial rebleeding. Both accidental cranial impacts occurred in medical settings and were independently witnessed by medical personnel. In addition, the authors summarize the relevant medical literature regarding pediatric intracranial bleeding and rebleeding.

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Traumatic aneurysm of the middle meningeal artery presenting as delayed onset of acute subdural hematoma

Cited by 18 publications

References 4 publications

Angiographically Progressive Change of Traumatic Pseudoaneurysm Arising from the Middle Meningeal Artery

Angiographically Progressive Change of Traumatic Pseudoaneurysm Arising from the Middle Meningeal Artery

Clinical importance of the middle meningeal artery: A review of the literature

Intracranial Hemorrhage and Rebleeding in Suspected Victims of Abusive Head Trauma: Addressing the Forensic Controversies

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